title: A giant right coronary artery related to a small fistula to the coronary sinus.
abstract: Coronary artery fistulas to the coronary sinus are very rare coronary anomalies most often resulting in extreme dilatation of the donor coronary artery and the receiving vessel. However, despite common impressive appearance, their clinical and functional impact may be extremely various from asymptomatic and benign cases to disabling and life threatening situations. To adequately stratify the inherent risks and to plan the most appropriate therapeutic strategy, an overall investigation is necessary. We herein report the case of a 56year-old woman with a giant right coronary artery related to a small and restrictive fistula to the coronary sinus that was extensively investigated by multi-imaging strategy before decision of a therapeutic abstention and long-term follow-up.
authors.affiliation: Centre Hémodynamique et Unité des Soins Intensifs de Cardiologie, Hôpital Cardiologique, Centre Hospitalier Régional et Universitaire de Lille, Lille, France.
authors.forename: Francesco
authors.initials: F
authors.lastname: Paparoni
authors.affiliation: Radiologie et Imagerie Cardiovasculaire, Hôpital Cardiologique, Centre Hospitalier Régional et Universitaire de Lille, Lille, France.
authors.forename: Emanuela
authors.initials: E
authors.lastname: Algeri
authors.affiliation: Centre Hémodynamique et Unité des Soins Intensifs de Cardiologie, Hôpital Cardiologique, Centre Hospitalier Régional et Universitaire de Lille, Lille, France.
authors.forename: Pascal
authors.initials: P
authors.lastname: Degroote
authors.affiliation: Centre Hémodynamique et Unité des Soins Intensifs de Cardiologie, Hôpital Cardiologique, Centre Hospitalier Régional et Universitaire de Lille, Lille, France.
authors.forename: Marjorie
authors.initials: M
authors.lastname: Richardson
authors.affiliation: Centre Hémodynamique et Unité des Soins Intensifs de Cardiologie, Hôpital Cardiologique, Centre Hospitalier Régional et Universitaire de Lille, Lille, France. Electronic address: gilles_lemesle@yahoo.fr.
authors.forename: Gilles
authors.initials: G
authors.lastname: Lemesle
mesh_terms: D001164:Arteriovenous Fistula / Q000175:diagnosis*; D017023:Coronary Angiography / Q000379:methods; D054326:Coronary Sinus / Q000000981:diagnostic imaging; D003330:Coronary Vessel Anomalies / Q000175:diagnosis*; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D019560:Echocardiography, Three-Dimensional; D005260:Female; D006801:Humans; D008875:Middle Aged; D061330:Multidetector Computed Tomography; D064847:Multimodal Imaging; D011237:Predictive Value of Tests
keywords: Congenital heart disease; Coronary angiogram; Coronary fistula